Here is a direct comparable and another little known hydrofiber from a great supplier. Before applying the dressing, cleanse the wound area with an appropriate wound cleanser. Odor reduction results from the antimicrobial effect in the dressing. The difference between the two is that SILVERCEL Non-Adherent has an ethylene methyl acrylate (EMA) outer film layer that uses EasyLIFT Precision Film technology. The concentration of silver ions in the wound is maintained for 7 days at the level of 60ppm. Melgisorb Ag is an antimicrobial alginate dressing made with carboxymethylcellulose (CMC). The dressings uniquely gel as they come in contact with wound exudate to provide a moist wound environment that facilitates autolytic debridement. These cookies track visitors across websites and collect information to provide customized ads. 07047. Alginates. When to use Melgisorb Ag Melgisorb Ag is indicated for the management of all moderate to heavily exuding partial to full thickness wounds including post-operative wounds, trauma wounds, leg ulcers, pressure ulcers, diabetic ulcers, graft and donor sites, cavity wounds and superficial and partial thickness burns. Is Aquacel AG the same as silver alginate? This cookie is set by GDPR Cookie Consent plugin. Al ginate or Calcium alginate . If the wound bed is relatively dry, it is recommended that AQUACEL Ag Dressing is placed in the wound and then moistened with sterile saline over the wound area only. Important Notice: The contents of the website such as text, graphics, images, and other materials contained on the website ("Content") are for informational purposes only. 1 Wounds with heavy drainage require dressings that are absorptive, yet still maintain a moist wound environment to promote healing, such as calcium alginate or carboxymethylcellulose (CMC) gelling fiber dressings. They can absorb heavier amounts of exudate and are removed from wounds easier. Save my name, email, and website in this browser for the next time I comment. Absorbs a larger amount of wound fluid. Recommendations for Wounds After Flaps and Grafts, How to Leverage Technology to Improve Patient Education and Outreach, From Chronic to Closure: An Innovative Approach to Manage Challenging Wounds, Working Smarter, Not Harder: Strategies for Wound Management Success, How to Advance Complex Wounds Toward Healing, Implementing Wound Hygiene: A Stepwise Approach, Transforming Cleansing Practice: Following the Science & Consensus Guidelines. In order to make a brief comparison of alginate dressings versus gelling fiber dressings, I've constructed a chart based on what I've learned at Cleveland Clinic's R.B. This will impact our healthcare system forever..WHERE DO YOU STAND? SILVERCEL Non-Adherent is a next generation product that is closely related to the silver-containing alginate dressing, SILVERCEL. The vertical absorption of the dressing will help to maintain the moist area over the wound only and reduce the risk of periwound maceration. The petroleum jelly will help keep the wound moist and prevent the dressing from sticking to the wound or scab. 9 CMC dressings form a transparent moist gel as they bind wound exudate into the dressing. These dressings can be used on no- and low-exudate wounds. Sodium alginate is an . Kendall Calcium Alginate Dressing, 2 in. Pour exactly 5 ml of water on the center of the dressing. The typical. Are designed for use in moderately to heavily draining wounds, Are non-adherent, conformable and can be cut and manipulated in the wound bed, May contain silver which can provide antimicrobial protection in the dressing, Should not be used for dry wounds since they can adhere to the dry wound bed, Expand in the wound due to the natural swelling of the dressing as it comes in contact with exudate, avoid overfilling the wound space, Can be left in place for several days depending on the condition of the wound. For patients discharged from the acute care setting, the road home can be laden with potholes and speed bumps. Aquacel Ag dressing combines 1.2% silver to Aquacel Hydrofiber, which is distributed throughout the dressing material. . Providers absolutely have to understand.WHAT IS ALLOCATION? However, in relation to clinician satisfaction, minimization of pain and facilitation of patient comfort, Mepilex Border Post-Op outperformed Aquacel Surgical. What is the difference between Aquacel and Aquacel Ag? This action means that . Alginate Silver is a material contains calcium alginate and silver alginate. Retail Price: $43.16. Convatec is committed to always showing the latest information and data, so our web pages are continually reviewed and updated to ensure they have the most current and relevant information, Hydrofiber Technology in Action - An Introduction. Lowers the risk of peri-wound maceration. Your email address will not be published. DermaGinate/Ag Calcium Alginate Dressing with Antibacterial Silver is a topical wound dressing for moderately to highly exudating partial- to full-thickness wounds . Holly has been practicing in WOC nursing for approximately six years. In addition, collagen provides a natural scaffold or substrate for new tissue growth. How much do you have to change something to avoid copyright. The most popular hydrofiber dressing in the market has been a staple for advanced wound care services for many years. calcium alginate vs aquacell. AQUACEL Ag with Hydrofiber (Aquacel Ag), silver impregnated antimicrobial dressing is a soft, sterile, non- woven pad or ribbon dressing composed of sodium carboxymethylcellulose and 1.2% ionic silver which allows for a maximum of 12mg of silver for a 4 inch x 4 inch dressing. Results in a nine-times stronger material than standard AQUACEL EXTRA dressings. Carboxymethylcellulose wound dressings. dressings are not designed for use with no- to low-exudate wounds. AQUACEL Ag Foam may be used for the management of both chronic and acute wounds, such as leg ulcers, pressure injuries (stages 2-4) and diabetic ulcers; surgical wounds (post-operative, donor sites, dermatological); partial-thickness (second-degree) burns; traumatic or surgical wounds left to heal by secondary . The subject device has all features and benefits associated with, a fibrous gelling dressing and the added benefit of an antimicrobial dressing. Thanks so much. Patty. Merry, A., Absorbent Hydrofiber and Calcium Alginate Foam Dressings. If an adhesive border is not present, these dressings will require a secondary bandage or adhesive to secure the product to the wound site. The vertical absorption properties of Aquacel Ag will help to maintain the moist area over the wound only and reduce the risk of maceration. Based on these results, we find that Alginate Silver is better than Aquacel Ag to cover the skin graft donor site. Hydrogel Ag is an antimicrobial wound gel that combines the unique properties of silver sulfadiazine with this Aloe Vera-based hydrogel. Are considered a hybrid wound care solution that brings together the benefits of alginate and hydrocolloid dressings. DuoDERM, CarboFlex, CombiDERM), foam dressin. If you are sensitive to adhesive and gauze pads, use paper tape to cover the wound. Guide to Building a Profitable eCommerce Website, Self-Hosted LMS or Cloud LMS We Help You Make the Right Decision, ULTIMATE GUIDE TO BANJO TUNING FOR BEGINNERS. How often should you change calcium alginate dressing? Aquacel Ag is an absorbent wound dressing made from sodium carboxymethyl cellulose and impregnated with 1.2% silver. When providers see Aquacel AG or anything Aquacel, its usually followed the hydrofiber blues because they can be pretty expensive. . Is Aquacel AG the same as alginate AG? x 4 in. When using Aquacel Ag ribbon in cavity wounds, leave at least 2.5cm (1 inch) outside the wound for easy retrieval. Silvercel uses elemental silver, which releases ions in a sustained and controlled manner, allowing access to all wound areas, including into cavities (Figure 2). 1 2. The least expensive way to deliver silver to a wound, Hydrogel Ag inhibits bacteria resistant to other antimicrobial agents without harming healthy tissue. It is a moisture retentive topical dressing which can release silver within the dressing for up to 14 days [3]. The cookie is used to store the user consent for the cookies in the category "Performance". Your email address will not be published. Suggest your calcium alginate alternative. Aquacel is a series of types of dressings that are used to protect an area of the body that has been injured. Is Melgisorb AG the same as calcium alginate? Adaptic was significantly easier to remove (p < 0.01), required less soaking (p < 0.05), was less painful to remove (p < 0.05) and caused less wound maceration (p < 0.05) than Jelonet, but was significantly more difficult to apply (p < 0.05). If the wound bed is relatively dry, it is recommended that AQUACEL Ag Dressing is placed in the wound and then moistened with sterile saline over the wound area only. A superabsorbent dressing can be used on a variety of wounds including pressure ulcers, venous ulcers, diabetic foot ulcers, trauma wounds or arterial ulcers. Conclusions: Based on these results, we find that Alginate Silver is better than Aquacel Ag to cover the skin graft donor site. 1 , 2. Time to re-epithelialization was longer in Aquacel Ag group than in Alginate Silver group. Cloth dressings are the most commonly used dressings, often used to protect open wounds or areas of broken skin. Dressing is highly absorbent and forms a gel as wound exudate is absorb. Alginate wound dressings are non-woven, non-adhesive pads and ribbons composed of natural polysaccharide fibers or xerogel derived from seaweed. 16411645., doi:10.1002/app.13317. 3M Adaptic Non-Adhering Dressing is indicated for dry to highly exuding wounds where adherence of dressing and exudate is to be prevented including: first- and second-degree burns, abrasions, grafts, venous ulcers, pressure ulcers, nail extractions, eczema, staples, surgical incisions, lacerations, reconstructive , MEDIHONEY contains active Leptospermum honey and works through 2 key mechanisms of action: 1) it acts as an osmotic engine to draw fluid from deeper tissues to the wound surface to promote removal of devitalized tissue,3 , 4 and 2) it features a low pH of 3.54.5 that helps reduce the pH of the wound and contributes to , Change the bandage once every 5-7 days or when exudate leaks from the edges or into the secondary bandage. AQUACEL EXTRA vs. Calcium Alginate Dressings. Effective against a broad spectrum of microorganisms over a period of up to 14 days, based on in vitro testing (which is beyond indicated wear time . Doughty, D. B. In June 2014 we searched for as many relevant studies as we could find that had a robust design (randomised controlled trials) and compared alginate dressings with other treatments for pressure ulcers. What is a calcium alginate dressing? Beyond these similarities, understand the differences between, This type of advanced wound care dressing uses polysaccharides or xerogel sourced from brown seaweed or kelp, with the goal of drawing in exudate and keeping it away from the wound bed. I am wondering if anyone can tell me the difference between calcium alginate and aquacell, and in what situation you would use one or the other. Lessen maceration risks to protect periwound skin during removal. Can be specifically shaped to the wound bed to eliminate dead space or pockets where bacteria can grow and hinder wound healing. ZeniFIBER Ag absorbs exudate and forms a gel like covering over the wound. AQUACELAg Dressing is not a drug In all of our silver products, the anti-microbial activity occurs within the dressing. She has much experience with the long-term care population and chronic wounds as well as pressure injuries, diabetic ulcers, venous and arterial wounds, surgical wounds, radiation dermatitis, and wounds requiring advanced wound therapy for healing. Required fields are marked *. The cookie is used to store the user consent for the cookies in the category "Analytics". Frequency of Dressing Changes Between Visits [ Time Frame: Total treatment period of 4 weeks (28 days) or earlier if the wound is dry or healed ] Same thing? Even after your wound looks closed and repaired, its still healing. How do AQUACEL EXTRA calcium alginate dressings work? Use for a skin protection as part of a comprehensive protocol of care. Composition-wise, calcium alginate dressings come as non-woven, non-occlusive and non-adhesive pads, ropes and sheets that can be cut to the wounds shape. Lower Extremity Wounds: Is It Venous, Arterial, Neuropathic, or a Combination? Silver Calcium Alginate Ag Sterile Highly Absorbent Antibacterial Dressing, 0.8"x12", 5 dressings/Box, MedHeal by MedvanceTM. conform to a range of wound types and depths. She has a passion for education, teaching, and our veterans. Is sodium selenite the same thing as sodium alginate? October 2, 2020, This will impact our healthcare system forever..WHERE DO YOU STAND? However, due to composition and strength, both. Creates a hydrophilic gel, which helps to stop horizontal wicking of exudate. Dr. Arturo Gonzalez and Dr. Alton R. Johnson, Cathy Thomas Hess, BSN, RN, CWOCN and Dr. Lisa Gould, MD, PhD, FACS, Burnout in Wound Care: Caring for Every Care Provider, Navigating Wound Care From Hospital to Home. Dressing is sterile and can remain in place . Alginate Silver is a material contains calcium alginate and silver alginate. Collagen, the protein that gives the skin its tensile strength, plays a key role. Maintains dressing integrity for one piece removal. Every 5 to 7 days, unless strikethrough of exudate occurs earlier. In other wounds, the leaking fluids stimulate the silver ions to release and aid in . AQUACEL Ag Advantage incorporates two powerful technologies Hydrofiber and MORE THAN SILVER that work together synergistically to effectively manage biofilm within the dressing. By clicking Accept, you consent to the use of ALL the cookies. To hold onto exudate and create a moist healing environment, AQUACEL EXTRA calcium alginate dressings use Hydrofiber Technology. The silver in the dressing kills wound bacteria held in the dressing. Lower extremity wounds manifest in a multitude of ways, with numerous causative or trigger factors. Exposure to wound exudate dissolves the silver and stimulates the release of silver ions. Melgisorb Plus consists of fibres made of calcium sodium alginate and creates a gel on contact with exudate or solutions containing sodium ions (saline) 1 2 . With two layers stitched together, each dressing holds onto 39% more fluid compared to its predecessor and offers an effective management solution for moderate- to heavy-exudating wounds, including chronic conditions. ConvaTec is committed to helping you achieve the best possible outcomes for your facility and the patients in your care. Keep the large open wounds covered and moist to fasten the healing process by the rapid growth of new skin tissues. ZeniFIBER Ag is a silver alginate dressing composed of natural fibers from seaweed combined with silver to provide exudate control and reduction of bacterial growth in the dressing while maintaining a moist environment and reducing wound odor. What are the benefits of aquacel Ag silver? CVS Health Antimicrobial Silver Alginate Dressings use the power of silver to form a barrier against Staphylococcus aureus and Psedomonas aeruginosa. The vertical absorption of the dressing will help to maintain the moist area over the wound only and reduce the risk of periwound maceration. Aquacel Ag is an absorbent wound dressing made from sodium carboxymethyl cellulose and impregnated with 1.2% silver. Calcium alginate dressings are made from sodium alginate extracted from brown seaweed and processed with calcium salts into nonwoven biodegradable dressings. Product: 420673. Select the correct dressing How long should AQUACEL dressing stay on? What we found. A calcium alginate dressing contains silver alginate, so yes, they are the same thing. Contact with exudate causes the material to take on a softer, gel-like form that can be shaped or packed into the wound bed. Turnbull, Jr., MD School of Wound, Ostomy, and Continence Nursing (WOC), through my own practice and experience, and from the WOCN Society's Wound Management Core Curriculum. Lessens cross-infection and wound-infection risks both while worn and during removal. 2. AQUACEL EXTRA wound dressing is composed of two layers of Hydrofiber Technology stitched together. Dressing used in wound care. A superabsorbent dressing can be a primary or secondary dressing** which manages moderate to heavy wound exudate. As I've previously mentioned, we've all heard the term, "a dry cell is a dead cell." AQUACEL Foam dressing is designed for: Exuding wounds. Cover the dressing with a moisture retentive dressing such as DuoDERM Extra Thin to avoid drying out of the dressing and subsequent dressing adherence to the wound. Wound exudate can be managed with many different modalities, both simple (like topical dressings) and advanced (like negative pressure wound therapy, or NPWT). May contain silver which can provide antimicrobial protection in the dressing. Our Sensi-Care Sting Free line includes adhesive releasers, removers and skin barrier products designed to protect at-risk skin from the damaging effects of adhesives, body waste and friction. Moist wound healing environment and control of wound bacteria within the dressing supports the bodys healing process and helps reduce the risk of wound infection. Details. Unfortunately they are more expensive than calcium alginates. What are the Microsoft Word shortcut keys? No. The calcium alginate is transported to the first tank, which contains acid previously used in the second tank. In contact with exudate, alginate matrix forms a soft gel, which enables the continuous release of silver ions from the entire dressing surface. 3, 2003, pp. Remove the Aquacel Ag when clinically indicated (i.e., leakage, excessive bleeding, increased pain) or after a maximum of seven days. Please feel free to contact us anytime! Do not use Aquacel on dry wounds. Longer wear time reduces clinician labor costs, a significant factor in overall wound care costs. Melgisorb Plus is soft, pliable and can be cut to shape and is easy to use 1 . What is the best dressing for Sloughy wounds? Requires a secondary dressing a semi-permeable film dressing or a hydrocolloid dressing may be appropriate. Top. Is Aquacel AG the same as silver alginate? Carboxymethylcellulose (CMC) dressings are highly absorptive textile fiber dressings derived from natural cellulose sources and are commonly known as CMC gelling fiber dressings. They can absorb heavier amounts of exudate and are removed from wounds . Its unique construction allows for high absorbancy, high wet tensile strength with sustained antimicrobial efficacy. Also called gelling fiber or hydrogel dressings, this is a non-adhesive, non-occlusive and non-woven CMC-based hydrophilic dressing that absorbs high amounts of exudate. Leave at least 2.5 cm outside the wound for easy retrieval. Abenas Calcium Alginate Dressing with Silver is made of natural fibers derived from seaweed. 50: 9236: Kendall Calcium Alginate Dressing Plus, 4 in. Conclusions: Based on these results, we find that Alginate . As the burn wound reepithelizes, the Aquacel Ag will detach or be easily removed. is a hydrogel dressing that allows for autolytic and osmotic debridement to aid in tissue granulation and keep moisture in check. Calcium Alginate or Hydrofiber? It is designed to be highly absorbent and form a gel-like covering over the wound, to help maintain a moist environment that promotes wound healing. Calcium alginate. Wound Care Advisor, vol.1, no.2, July/Aug.2012 pp. Alginate is a general term for a family of polysaccharides produced by seaweed, brown algae, and bacteria. Scientific Background Report. Create a material that holds onto and deactivates bacteria present in the wound exudate; taking off the dressing then removes the bacteria and other microorganisms. AQUACEL Foam dressing has a soft absorbent Foam pad, an AQUACEL interface, a gentle silicone adhesive, and a waterproof/bacteria barrier. However, not all wounds are dry. AQUACEL Ag adds ionic silver for improved antimicrobial action. There were no significant differences between the two treatment groups with respect to cosmetic outcome and infection rate. The cookies is used to store the user consent for the cookies in the category "Necessary". Results: Silvercel was found to be significantly more effective in terms of wound exudate management than Aquacel Ag. Hydrocolloids. Askina Calgitrol matrix formulation combines calcium alginate and silver alginate with 10% of bounded water. The cookie is set by the GDPR Cookie Consent plugin and is used to store whether or not user has consented to the use of cookies. It is a moisture retentive topical dressing which can release silver within the dressing for up to 14 days [3]. , Cuticell BSN Medical Inc., an Essity Company. Alginates. Alginate Dressings | Calcium Alginate Dressings for Wounds. its absorbent capacity or per facility protocol. The content is not intended to substitute manufacturer instructions. Is silver calcium alginate the same as Aquacel AG? Conclusion: Both dressings performed well in terms of minimizing post-operative wound complications. She also values the significance of the support of leadership within her facility and the overall impact of great teamwork for positive outcomes. This dressing absorbs high amounts of wound fluid and bacteria and creates a soft, cohesive gel that intimately conforms to the wound surface, maintains a moist environment and aids in the removal of non-viable tissue from the wound (autolytic debridement). All anti-microbial activity occurs within the dressing. What kind of technology does aquacel AG advantage use? 2 Alginate dressings can be found in sheet or rope form. Rating: 100%. Save my name, email, and website in this browser for the next time I comment. (. Are non-adherent, conformable and can be cut and manipulated in the wound bed. These cookies help provide information on metrics the number of visitors, bounce rate, traffic source, etc. According Dooblet's users the best alternative for calcium alginate is silver alginate. If there is no improvement, the silver dressing should be discontinued and the treatment regimen reassessed (International Consensus Group, 2012). This is due to a chemical reaction between the dressings calcium ions and the wound fluids sodium ions. Aquacel Foam Hydrogel Dressings Purilon ActivHealGel Askina gel Aquaflo Aquaform Coolie Flexigran Gel Gel FX Geliperm Granugel Hydrosorb Intrasite Mesitran Novogel Nu-Gel Alginate Dressings Tegaderm Alginate Kaltostat Activheal Alginate Algisite M Algosteril Cutimed Alginate Melgisorb These dressings have multiple layers which include a nonadherent contact layer, a middle layer which contains fibers or gelling material to absorb exudate, as well as a water repelling outer layer. AQUACEL Ag Advantage incorporates two powerful technologies - Hydrofiber and MORE THAN SILVER - that work together synergistically to effectively manage biofilm within the dressing. This action means that. Is Aquacel the same as alginate? NEW! Beyond these similarities, understand the differences between Hydrofiber vs. calcium alginate dressings: Calcium Alginate Dressings. Conclusions: Based on these results, we find that Alginate Silver is better than Aquacel Ag to cover the skin graft donor site. Unfortunately, this problem does not impact a single segment of specialists but is By Kari K. Harman, RN-C, CCM, CWCA, WCN-C, CSWD-C, ACCWS, DAPWCA. It is nine times stronger and has 39% greater absorbency as compared to the original AQUACEL wound dressing.1 AQUACEL EXTRA Hydrofiber dressing is specifically suited to help manage moderate to highly exuding wounds and is cleared for the same indications as the original AQUACEL dressing. This cookie is set by GDPR Cookie Consent plugin. What are the five major reasons humans create art? , Curity Sodium Chloride Dressing. On exposure to high levels of wound exudate, Silvercel retained its shape and mechanical strength, and remained at the site of application. Is calcium alginate with silver the same as Aquacel AG? Conclusions: In infected wounds, silver is beneficial for the first few days/weeks, after which nonsilver dressings should be used instead. 20 results for "aquacel ag silver" RESULTS. Our AQUACEL Ag Advantage dressings are the #1 anti-microbial dressings today, combining the infection-fighting power of ionic silver with the unique capabilities of Hydrofiber Technology. 21, no. 2005. Helps improve patient comfort during wear and dressing changes. It is a highly absorbent wound dressing with good antimicrobial properties, which. Performance cookies are used to understand and analyze the key performance indexes of the website which helps in delivering a better user experience for the visitors. References: Want to learn more about this topic? It is a moisture-retention dressing, which forms a gel on contact with wound fluid and has antimicrobial properties of ionic silver. In addition to the reference links above, here are some great articles and resources that you can explore. Holds onto exudate and bacteria to prevent wound fluid from migrating laterally. Have questions? Dressing selection plays an important role in supporting autolytic debridement and promoting wound healing. 0 Comment . Because Aquacel Ag provides a moist environment that supports the growth of new blood vessels, the delicate newly formed blood vessels may occasionally produce blood stained wound fluid. gauze) Dressing may be left in place up to 14 days Change secondary dressing more frequently if saturated Directions for Use on a Partial-Thickness Burn AQUACEL Ag with Hydrofiber is a soft, sterile, antimicrobial Do not use Aquacel on dry wounds. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition or product usage. Hydrofiber dressings accomplish 2 things better than a calcium alginate. Forms: Sheets, ropes . These advanced dressings help draw in wound fluid, reduce infection risks and protect the wound bed from bacteria so new tissue can form. There were no significant differences between the two treatment groups with respect to cosmetic outcome and infection rate. Aquacel Ag is intended for the management of a wide range of acute and chronic wounds, based on the clinical experience with Aquacel hydrofiber dressing. Research has shown that AQUACEL improves healing time compared to standard calcium alginate dressings. 50: 9240: Kendall Calcium Alginate Dressing, 4 in. Dressings, as opposed to cream formulations, are designed to have a more controlled and prolonged release of silver during wear-time. The dressings work to nurture the environment and keep it sterile to promote better healing and protection of the wounded area. Cloth. There are dressings specifically designed to promote autolytic debridement, which include thin films, honey, alginates, hydrocolloids, and PMDs. can hold up to 20 times their weight in wound fluid. AQUACEL Ag Burn Hydrofiber Dressing, Sterile View Product AQUACEL Ag SURGICAL cover dressing View Product KALTOSTAT Calcium Sodium Alginate Dressing Calcium alginate dressings contain an ionic silver complex - silver sodium hydrogen zirconium phosphate. #1. October 19, 2020, Big breakthrough in Ostomy care? The silver fibres kill a broad spectrum of microorganisms associated with bacterial colonisation and infection of wounds. 1 Count (Pack of 1) 4.6 out of 5 stars 623. Is Aquacel and alginate the same? What are CERAMIDES? These types of wounds are often costly to treat, are frequently refractory, and have a high risk for recurrence. Making The Case For Cost-Effective Wound Management. If the burn is infected, frequent inspection of the wound may be necessary. Cardinal Health Reinforced Gelling Fiber +Ag dressings are sterile, reinforced non-woven pads composed of a high G (guluronic acid) calcium alginate, carboxymethylcellulose (CMC) and ionic silver complex (silver sodium hydrogen zirconium phosphate), which release silver ions in the presence of wound fluid. Conclusion: Both dressings performed well in terms of minimizing post-operative wound complications. For many patients, the fear of the unknown after being newly diagnosed with a wound or the exacerbation By Holly Hovan MSN, GERO-BC, APRN, CWOCN-AP. She enjoys working with each patient to come up with an individualized plan of care based on their needs and overall medical situation. It is a highly absorbent wound dressing with good antimicrobial properties, which is similar to Aquacel Ag [4]. In other words, Dr. Ovington explains that silver impregnated products, which provide a sustained release of positively charged silver ions at the wound surface, can promote wound healing and decrease infection by killing bacteria.